Exchange
HealthCare.gov
Federal exchange
Medicaid Expansion
❌ Not Expanded
Limited Medicaid eligibility
Avg. Benchmark Premium
$540/mo
Age 40, Silver plan
Wisconsin Overview
Wisconsin has not fully expanded Medicaid but covers adults up to 100% FPL through BadgerCare Plus. Uses HealthCare.gov.
How to Enroll in Wisconsin
Wisconsin uses the federal exchange at HealthCare.gov.
Visit HealthCare.gov during Open Enrollment to browse plans, compare premiums, and apply for subsidies. You can also call the marketplace helpline at 1-800-318-2596.
Medicaid in Wisconsin
Wisconsin has not expanded Medicaid.
Without Medicaid expansion, adults without dependent children may have very limited Medicaid eligibility. There may be a “coverage gap” for people who earn too much for traditional Medicaid but too little for marketplace subsidies. Check your state's Medicaid program for current eligibility rules.
Calculate Your Wisconsin Premiums
See how the subsidy cliff affects your specific situation.
Open Calculator →See How the 2026 Subsidy Cliff Affects You
Enter your income and household size for a personalized premium comparison.
Calculate Your 2026 Premium Impact →Related Resources
⚠️ Disclaimer
This calculator provides estimates for educational purposes only. It is not a substitute for professional advice. Actual premiums, subsidies, and eligibility may vary based on your specific circumstances, location, and available plans. We are not licensed insurance agents or brokers. For official information, visit HealthCare.gov or contact a licensed insurance professional. This site is not affiliated with the U.S. government, CMS, or any insurance company.